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Updated: Jun 22, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Rolfing structural integration treatment of cervical spine dysfunction.

Helen James1, Luis Castaneda, Marilyn E Miller

  • 1Department of Physical Therapy, California State University, Fresno, USA. helenj@cvip.net

Journal of Bodywork and Movement Therapies
|June 16, 2009
PubMed
Summary

Rolfing Structural Integration (RSI) significantly reduced neck pain and improved active range of motion (AROM) in adults with cervical dysfunction. This therapy, focusing on body alignment, offers a viable treatment option for improving neck mobility and comfort.

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Area of Science:

  • Integrative Medicine
  • Physical Therapy
  • Biomechanical Analysis

Background:

  • Skeletal misalignments can lead to myofascial contractions, characterized by fascia shortening and thickening.
  • Physical therapy offers various treatments for neck dysfunction, but evidence supporting their efficacy is limited.
  • Compensatory strategies in response to upright posture can impact tissue integrity.

Purpose of the Study:

  • To evaluate the impact of Rolfing Structural Integration (RSI) on neck pain and motion.
  • To assess changes in active range of motion (AROM) and pain levels following RSI treatment.
  • To investigate the effectiveness of RSI in aligning the human body with gravity.

Main Methods:

  • Retrospective analysis of 31 subjects undergoing 10 basic RSI sessions over 3 years.
  • Evaluation of neck range of motion (ROM) using an arthrodial protractor and pain levels before and after RSI.
  • Data analysis included age, sex, occupation, diagnosis, posture, and functional complaints; three-way ANOVA was used.

Main Results:

  • Significant decrease in neck pain and significant increase in AROM observed post-RSI treatment (p<0.5).
  • Age-related differences noted: older adults experienced a 67% decrease in pain, while younger adults showed a 34% increase in AROM for right rotation.
  • Post-treatment pain reduction was more pronounced for 'pain now' compared to 'pain best' and 'pain worst' levels.

Conclusions:

  • A 10-session basic course of RSI, administered by certified physical therapists, effectively reduces pain and enhances AROM in adults with cervical spine dysfunction.
  • Improvements in motion were most notable in lateral flexion compared to rotation, extension, and flexion.
  • RSI demonstrates efficacy in improving neck function and reducing pain across different age groups.